No Surprises Act protections
Effective January 1, 2022, you will be protected from being balanced billed by out of network providers in emergency situations. For non-emergency situations, you must agree and consent to being balanced billed by the out of network provider. Please visit our No Surprises Act page for additional information.
Memorial Health sites of care proudly accept a wide variety of health insurance plans to serve our community. The list
provided below includes plans that each location is currently participating. We encourage all patients to verify
coverage and benefits with their plan administrator or insurance carrier.
Can't find your health plan?
If you do not see your health plan listed, please contact the Memorial Health Managed Care Department at 217-788-4448
or via email at ManagedCareDepartment@mhsil.com.
Below are links to common insurance plans accepted at Memorial Health. While we cannot quote benefits or coverage, we
hope these links can help direct you to your insurance payor for the information you require.
Hospital Facilities
Decatur Memorial Hospital
Note: Independent health care providers who practice at Decatur Memorial Hospital may not be participating in the
same insurance plans and networks as Decatur Memorial Hospital. Independent providers’ services will be billed
separately.
Commercial Insurance Plans
- Aetna PPO/HMO/OAP
- Amish-Mennonite
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO
- Caterpillar, Inc
- Cigna PPO (Center of Excellence)
Center of Excellence Designations: Cardiac Catheterization and Angioplasty, and Colon Surgery
What is a Center of Excellence? According to Cigna, a center of excellence is a designation
is obtained after review. This review is based on two key things: patient outcomes, or how successful a hospital
is at caring for patients undergoing a certain surgery or being treated for an illness, and cost-efficiency—the
hospital's ability to deliver consistently excellent patient care while still keeping costs lower than average.
- Consociate Group
- CorVel
- HealthLink
- Humana
- MultiPlan/PHCS (Physician-only plans not accepted)
- Plain Church Medical Group
- United Healthcare (Physician-only plans not accepted)
ACA/Exchange Plans
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- HumanaChoice
- United Healthcare
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (FIDE D-SNP)
- Meridian/WellCare
- Molina Healthcare
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
Lincoln Memorial Hospital
Note: Independent health care providers who practice at Lincoln Memorial Hospital may not be participating
in the same insurance plans and networks as Lincoln Memorial Hospital. Independent providers’
services will be billed separately.
Commercial Insurance Plans
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO
- Caterpillar, Inc
- Cigna PPO
- Consociate Group
- CorVel
- HealthLink
- HFN
- Humana
- Multiplan/PHCS (Physician-only plans not accepted)
- United Healthcare (Physician-only plans not accepted)
ACA/Exchange Plans
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (FIDE D-SNP)
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
Jacksonville Memorial Hospital
Note: Independent health care providers who practice at Jacksonville Memorial Hospital may not be participating in
the same insurance plans and networks as Jacksonville Memorial Hospital. Independent providers’ services will be
billed separately.
Commercial Insurance Plans
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO
- Cigna PPO (Center of Excellence)
Center of Excellence Designations: Delivery (C-Section, Vaginal Delivery) and Respiratory
Conditions
What is a Center of Excellence? According to Cigna, a center of excellence is a designation
is obtained after review. This review is based on two key things: patient outcomes, or how successful a hospital
is at caring for patients undergoing a certain surgery or being treated for an illness, and cost-efficiency—the
hospital's ability to deliver consistently excellent patient care while still keeping costs lower than average.
- CorVel
- Current Health Network
- HealthLink
- HFN
- Humana Health Plan
- MultiPlan/PHCS (Physician-only plans not accepted)
- United Healthcare (Physician-only plans not accepted)
ACA/Exchange Plans
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (FIDE D-SNP)
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
Springfield Memorial Hospital
Note: Independent health care providers who practice at Springfield Memorial Hospital may not be participating in
the same insurance plans and networks as Springfield Memorial Hospital. Independent providers’ services will be
billed separately.
Commercial Insurance Plans
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO
Center of Excellence Designations: Bariatric Surgery, Cardiac Catheterization and Angioplasty,
and Gallbladder Removal, Laparoscopic
What is a Center of Excellence? According to Cigna, a center of excellence is a designation
is obtained after review. This review is based on two key things: patient outcomes, or how successful a hospital
is at caring for patients undergoing a certain surgery or being treated for an illness, and cost-efficiency—the
hospital's ability to deliver consistently excellent patient care while still keeping costs lower than average.
- Consociate Group
- CorVel
- Current Health Network
- HealthLink
- HFN
- Humana
- MultiPlan/PHCS (Physician-only plans not accepted)
- Preferred Plan, Inc.
- United Healthcare (Physician-only plans not accepted)
ACA/Exchange Plans
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- Humana Choice
- United HealthCare
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (Health Choice Illinois)
- Aetna Better Health of Illinois
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (FIDE D-SNP)
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
Taylorville Memorial Hospital
Note: Independent health care providers who practice at Taylorville Memorial Hospital may not be participating in
the same insurance plans and networks as Taylorville Memorial Hospital. Independent providers’ services will be
billed separately.
Commercial Insurance Plans
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- Blue Cross Blue Shield of Illinois PPO
- Caterpillar, Inc
- Cigna PPO
- Consociate Group
- CorVel
- HealthLink
- HFN
- Humana Health Plan
- MultiPlan/PHCS (Physician-only plans not accepted)
- United Healthcare (Physician-only plans not accepted)
- United Mine Workers of America (UMWA)
ACA/Exchange Plans
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (FIDE D-SNP)
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
Ambulatory Providers
Memorial Care
Note: Memorial Care sites are recognized by the National Committee for
Quality Assurance (NCQA) as patient-centered medical homes. This model of care puts you and your loved ones at
the center of care by enhancing communication, better coordinating your needed care and a continuous commitment
to quality improvement. For those seeking Urgent Care services through Memorial Care, please note that Memorial Care bills these services with an office, not urgent care, place of service. Please consult with your benefits to learn more as to the impact of this designation.
Commercial Insurance Plans
- Aetna PPO/HMO/OAP
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO
- Cigna PPO
- Consociate Group
- CorVel
- Health Alliance
- HealthLink
- HFN
- Humana Health Plan
- Multiplan/PHCS
- United Healthcare
ACA/Exchange Plans
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross Blue Shield of Illinois
- Health Alliance
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois
- Meridian Health
- Molina Healthcare
Medicaid Managed Care Plans (FIDE D-SNP)
Service Member Plans
- VA Community Care Network (VA CCN)
Memorial Specialty Care
Commercial Insurance Plans
- Aetna PPO/HMO/OAP
- Amish-Mennonite
- BlueCross BlueShield of Illinois HMO
- BlueCross BlueShield of Illinois PPO
- Caterpillar, Inc
- Cigna PPO
- Consociate Group
- CorVel
- Health Alliance
- HealthLink
- Humana
- MultiPlan/PHCS (Physician-only plans not accepted)
- Plain Church Medical Group
- United Healthcare (Physician-only plans not accepted)
ACA/Exchange Plans
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- Health Alliance Basic
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois
- Meridian Health
- Molina Healthcare
Medicaid Managed Care Plans (FIDE D-SNP)
- Meridian/WellCare
- Molina Healthcare
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
Memorial Wellness Center
We will work with you to verify insurance coverage, discuss payment options and answer general questions after
completion of your prescreening interest form. Each provider and plan is different, so we are here to provide individual consultation
about your specific coverage.
If you have questions, please do not hesitate to contact us. This includes your initial quote, the addition of
other diagnoses to your quote, what is covered and not covered, as well as discounted rates.
We are here to help you navigate this process and achieve a healthier lifestyle.
Medicaid Managed Care Plans (FIDE D-SNP)
- Meridian/WellCare
- Molina Healthcare
Memorial Behavioral Health
Note: If you do not see your plan below please consult with your plan. Some plans require direct coordination with Memorial Behavioral Health for behavioral health benefits.
Commercial Insurance Plans
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO
- CorVel
- HealthLink
- Magellan
- MultiPlan/PHCS
ACA/Exchange Plans
Medicare
- Traditional Medicare Part B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross BlueShield of Illinois
- Health Alliance Basic
- HumanaChoice
- WellCare
Medicaid
- Traditional Illinois Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois
- Meridian Health
- Molina Healthcare
Medicaid Managed Care Plans (FIDE D-SNP)
Service Member Plans
- Tricare/Humana Military
- VA Community Care Network (VA CCN)
Memorial Home Care
Commercial Insurance Plans
- Aetna PPO/HMO/OAP
- BlueCross BlueShield of Illinois HMO/PHAI (Site 314)
- BlueCross BlueShield of Illinois PPO
- Cigna PPO
- Consociate Group
- CorVel
- Health Alliance
- HealthLink
- Humana Health Plan
- Multiplan/PHCS
- Preferred Plan, Inc
ACA/Exchange Plans
Medicare
- Traditional Medicare Part A & B
Medicare Advantage Managed Care (Part C) Plans
- Aetna/Coventry Advantra
- BlueCross Blue Shield of Illinois
- Health Alliance
- HumanaChoice
- United HealthCare (effective February 1, 2023)
- WellCare
Medicaid
- Illinois Traditional Medicaid
Medicaid Managed Care Plans (HealthChoice Illinois)
- Aetna Better Health of Illinois
- Meridian Health
- Molina Healthcare
Medicare Managed Care Plans (FIDE D-SNP)
Service Member Plans
- VA Community Care Network (VA CCN)
Affordable Care Act (ACA)
As a provision of the Affordable Care Act (ACA), uninsured Americans can enroll in insurance plans through the
Health Insurance Marketplace. In Illinois, the health insurance marketplace is named “Get Covered Illinois”.
- The Insurance marketplace is designed to help uninsured persons find a health insurance plan in their area
that fits their needs and budget. The marketplace also helps determine if applicants qualify for Medicaid coverage.
- Memorial Health participates in many options offered through the marketplace.
- Visit GetCoveredIllinois.gov or Healthcare.gov or call 800-318-2596 to get more information
on enrolling.
- In-person counselors, or navigators, are available to assist with enrollment at no cost at a number of social
service agencies in Central Illinois, including:
Visit GetCoveredIllinois.gov for more information and resources.
Springfield Area
Illinois Stewardship Alliance
230 Broadway St. I 217-720-0453
Springfield Urban League
100 N. 11th St. | 217-522-0407, ext. 1451
Family Guidance Centers
120 N. 11th St. | 855-328-6392
Central Counties Health Centers
2239 E. Cook St. | 217-788-2300
SIU Center for Family Medicine
520 N. Fourth St. | 217-545-8000
Sangamon County Department of Public Health
2833 South Grand Ave. E. | 217-535-3100
Decatur Area
Macon County Department of Public Health
1221 E. Condit St I 217-423-6988
Crossing HealthCare
320 Central Ave I 217-877-9117
SIU Center for Family Medicine
102 W. Kenwood Ave I 217-872-3800
Jacksonville Area
Jacksonville Area Center for Independent Living
15 Permac Road | 217-245-8371
Morgan County Health Department
345 W. State St. | 217-245-5111
Taylorville Area
Christian County Department of Public Health
902 W. Springfield Road | 217-824-4113
For questions, please contact the Memorial Health Managed Care Department at 217-788-4448 or via email at ManagedCareDepartment@mhsil.com.